Goulet J P, Lavigne G J, Lund J P
Faculté de médecine dentaire, Université Laval, Ste-Foy (Québec), Canada.
J Dent Res. 1995 Nov;74(11):1738-44. doi: 10.1177/00220345950740110401.
The purpose of this study was to assess the prevalence and pattern of self-reported TMD jaw pain in a randomized stratified sample from the general population living in the Province of Québec, Canada. Through a telephone survey, standardized questions were asked to 897 French-speaking respondents, aged 18 years old and over, regarding frequency, severity, daily pattern of jaw pain, presence of difficulty in opening, joint clicking, and sleeping problems. All prevalence estimates were adjusted to the sociodemographic distribution of the non-institutionalized population. The results indicate that TMD jaw pain is self-reported by 30% of the general population; however, the prevalence of cases reporting frequent episodes (quite often or very often) is estimated at 7%, with more than two-thirds (69%) of the respondents in this subgroup experiencing moderate to severe pain. The prevalence rates of frequent difficulty in opening and joint clicking were estimated at 9% and 4%, respectively. Approximately one in four subjects with frequent episodes of jaw pain also reported frequent joint clicking or difficulty in opening, and a strong association (Gamma coefficient > 0.6) was found among all three TMD symptoms. Our data suggest that the prevalence of clinically significant TMD-related jaw pain (frequent jaw pain of moderate to severe intensity) is approximately 5% in the general population of the Province of Québec. In the nine months preceding the survey, about 2% of the total population sought treatment for a TMD symptom.
本研究的目的是评估加拿大魁北克省普通人群中自我报告的颞下颌关节紊乱病(TMD)颌面部疼痛的患病率及模式。通过电话调查,对897名18岁及以上的法语受访者询问了关于颌面部疼痛的频率、严重程度、日常模式、张口困难、关节弹响及睡眠问题等标准化问题。所有患病率估计值均根据非机构化人群的社会人口统计学分布进行了调整。结果表明,30%的普通人群自我报告有TMD颌面部疼痛;然而,报告频繁发作(相当频繁或非常频繁)的病例患病率估计为7%,该亚组中超过三分之二(69%)的受访者经历中度至重度疼痛。张口频繁困难和关节弹响的患病率估计分别为9%和4%。约四分之一颌面部疼痛频繁发作的受试者也报告有频繁的关节弹响或张口困难,且在所有三种TMD症状之间发现了强关联(伽马系数>0.6)。我们的数据表明,在魁北克省普通人群中,临床上显著的TMD相关颌面部疼痛(中度至重度强度的频繁颌面部疼痛)的患病率约为5%。在调查前的九个月里,约2%的总人口因TMD症状寻求治疗。